Analgesic Effect of Auricular Acupuncture for Cancer Pain: A Randomized, Blinded, Controlled Trial

Alimi, David; Rubino, Carole; Pichard-Léandri, E; Fermand-Brulé, Sabine; Dubreuil‐Lemaire, Marie‐Laure; Hill, Catherine

doi:10.1200/jco.2003.09.011

Cited by 351 publications

(294 citation statements)

References 11 publications

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“…The patients in both groups reported adequate pain relief, so the difference in ibuprofen requirement confirms the analgesic effect of auricular acupuncture, suggested earlier. 15 Since invasive needle control produces weak analgesia, 16 the genuine clinical effect of auricular acupuncture might have been greater than reported here. The overall incidence of nausea (16/120 [13%]) was consistent with that reported in a systematic review of postdischarge symptoms (17%).…”

Section: Discussionmentioning

confidence: 61%

Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial

Usichenko¹,

Kuchling²,

Witstruck³

et al. 2007

Canadian Medical Association Journal

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A lmost 70% of operative procedures in North America are currently performed in an ambulatory setting.1 Despite advances in surgical techniques and modern methods of analgesia, 45% of patients suffer pain at home after ambulatory surgery, 2 and moderate to severe pain intensity at home is reported by 30% of ambulatory patients.3 Inadequate relief of pain after ambulatory surgery increases morbidity and health care costs and reduces patients' quality of life.4,5 To improve postoperative pain relief, an integrative approach combining pharmacologic methods and various complementary nonpharmacologic analgesic techniques has been recommended.6 Auricular acupuncture holds promise, as it is an easily performed technique that might be effective for treatment of both preoperative anxiety and postoperative pain in patients undergoing ambulatory surgery.7,8 However, there are reasonable doubts in the scientific community concerning the specificity of acupuncture, 9 because the large randomized trials on auricular acupuncture for treatment of cocaine and alcohol dependence have found no difference between treatment and invasive needle control. 10,11Thus, after refining the methodology in a pilot study, 12 we performed a randomized controlled trial to compare the postoperative analgesic effect of auricular acupuncture with invasive needle control in patients after ambulatory knee surgery. MethodsThis prospective, patient-and evaluator-blinded, controlled study was performed between August 2003 and September 2004 at the Ambulatory Orthopedic Surgery Center of the Ernst Moritz Arndt University, Greifswald, Germany. The study was approved by the university's ethics committee. Consecutive patients scheduled for arthroscopic ambulatory knee surgery under general anesthesia (without premedication) were enrolled in the study. Exclusion criteria were age younger than 18 years or older than 70 years; American Society of Anesthesiologists physical status III (severe systemic disease with functional limitation); history of opioid, sedative or hypnotic medication or excess alcohol use; inability to understand the consent form or how to use a visual analogue scale for pain measurement; local auricular infection or significant auricular deformation; or presence of prosthetic cardiac valves. Patients were withdrawn from the study if it was necessary to change the perioperative analgesia scheme, if the arthroscopic procedure was turned into open knee surgery or if the patient was unexpectedly admitted to hospital after the procedure.On the day before surgery the patients were told that they would receive auricular acupuncture at specific points or Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial Background: Auricular acupuncture is a promising method for postoperative pain relief. However, there is no evidence for its use after ambulatory surgery. Our aim was to test whether auricular acupuncture is better than invasive needle control for complementary analgesia after ambulatory knee surgery. Methods:O...

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Section: Discussionmentioning

confidence: 61%

Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial

Usichenko¹,

Kuchling²,

Witstruck³

et al. 2007

Canadian Medical Association Journal

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“…2003 yılında 90 hasta üzerinde yapılan bir çalışmada; kulak çevresine uygulanan elektro akupunkturun, kanser ağrılarını anlamlı derecede azalttığı gösterilmiştir (13). Yine 2010 yılında yayınlanan, boyun operasyonu geçirmiş 58 kanser hastası üzerinde yapılan bir çalışmada; akupunkturun kanser hastalarında, ameliyat sonrası ağrıların azaltılmasında da yarar sağladığı belirlenmiştir (14).…”

Section: Akupunktur Ve Kanser Ağrılarıunclassified

Acupuncture and Cancer

Ünlü¹,

Kirca²,

Duman³

et al. 2017

Akd Med J

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ÖzAkupunktur, farklı yöntemlerle vücudun belirli noktaları ve buralardan geçen sinirlerin uyarıldığı ve birtakım semptomlarda rahatlama sağlandığı bir tamamlayıcı ve alternatif tıp yöntemidir. Geleneksel Çin Tıbbı'nda akupunkturun etki mekanizması, enerji akımı gibi bilimsel olmayan temellere dayandırılsa da; yapılan çalışmalarla akupunkturun etkisinin sinirlerin uyarılmasıyla salınan maddeler ve plasebo etkisine dayandığı gösterilmiştir. Akupunktur, kanser hastalarının da sıkça başvurduğu bir yöntemdir. Ancak akupunkturun kanserde tek başına etkin bir tedavi yöntemi olduğuna dair bilimsel bir kanıt yoktur. Kanser hastaları, akupunktur yöntemini kansere ve/veya kanser tedavisine bağlı belirtilerde azalma sağlamak amacıyla, standart tedaviye ek olarak tamamlayıcı bir tedavi yöntemi olarak kullanabilir. Yapılan çalışmalarla; akupunkturun kanser hastalarında ağrı, halsizlik, bulantı, kusma, psikolojik problemler, ağız kuruluğu, lenfödem, lökopeni, sıcak basmaları, duyu bozuklukları, nefes darlığı semptomlarında rahatlama sağlayabileceğine yönelik bulgular elde edilse de, yeterli değildir. Akupunkturun kanser hastalarındaki etkileri ve kullanım alanlarına dair, yapılacak kapsamlı ve iyi tasarlanmış çalışmalara ihtiyaç vardır.Anahtar Sözcükler: Akupunktur, Kanser, Alternatif tıp, Tamamlayıcı tıp AbStrActAcupuncture is a complementary and alternative medical method, helpful in relieving certain symptoms, that involves stimulating certain points on the body as well as nerves passing though those points, with the use of various techniques. Although the mechanism of action of acupuncture is based on some unscientific foundations such as energy flow in Traditional Chinese Medicine, studies have shown that the effect of acupuncture is based on the placebo effect and the substances released in consequence of the stimulation of the nerves. Acupuncture is a method that is often tried by cancer patients. However, there is no scientific evidence showing that acupuncture alone is an effective treatment for cancer. Cancer patients should use acupuncture technique as a complementary treatment in addition to the standard treatment, with intent to ensure a reduction in symptoms caused by cancer and/or cancer treatment. Some findings obtained from studies have suggested that acupuncture can provide relief from some symptoms such as pain, fatigue, nausea, vomiting, psychological problems, dryness of the mouth (xerostomia), lymphedema, leukopenia, hot flashes, sensory impairment, and shortness of breath in cancer patients; however, these findings are not adequate. Comprehensive and well-designed studies to be carried out on the effects of acupuncture in cancer patients as well as its areas of use are needed.

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“…Acupuncture is also used to relieve pain in cancer patients, especially head, neck, abdomen and chest pain, and ear acupuncture is effective in the neuropathic pain of cancer patients (Alimi et al, 2003). In a study conducted in 286 patients with bone metastasis, the use of analgesic or sedative drugs decreased (Guo et al, 1995).…”

Section: Acupuncture As a Complementary Treatment For Cancer Patientsmentioning

confidence: 99%

Acupuncture as a Complementary Treatment for Cancer Patients Receiving Chemotherapy

Taş

Uncu²,

Şendur³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: Medical treatment for eliminating the side effects of cancer therapy may not always be efficacious. Acupuncture is one of the most widely accepted alternative and complementary therapies in use today. In this study, we investigated the efficacy of acupuncture in patients experiencing cancer treatment side effects, including nausea, vomiting, pain, poor sleep quality and anxiety. Materials and Methods: A total of 45 inpatients who underwent chemotherapy between February and April 2013 in the Oncology Department of Numune Hospital were included in our study. Acupuncture was administered to the patients one day prior to chemotherapy, on the day of chemotherapy and one day after chemotherapy. The patients were evaluated on nausea, vomiting, pain, sleep quality and anxiety before the chemotherapy and on the 4 th day of chemotherapy. Results: Of the 45 patients included in the study, 18 (40%) were female and 27 (60%) were male. A total of 25 (55.6%) had an elementary school education; 32 patients (71%) had stage 4 cancer and were treated with palliative chemotherapy (the patient characteristics are shown in Table 1). Statistically significant decreases (p<0.001) in pain, nausea, vomiting, insomnia and anxiety scores were observed after the acupuncture treatment compared to baseline. There were no differences in the age, gender, education level, stage or metastasis levels between the patient groups whose symptoms improved or were unchanged. Conclusions: Our study showed that acupuncture has positive effects in cancer treatment patients who experience nausea, vomiting, pain, poor sleep quality and anxiety as side effects of chemotherapy. Chemotherapy-related side effects in cancer patients could be decreased by the concurrent use of acupuncture.

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Analgesic Effect of Auricular Acupuncture for Cancer Pain: A Randomized, Blinded, Controlled Trial

Abstract: The observed reduction in pain intensity measured on the VAS represents a clear benefit from auricular acupuncture for these cancer patients who are in pain, despite stable analgesic treatment.

Cited by 351 publications

References 11 publications

Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial

Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial

Acupuncture and Cancer

Acupuncture as a Complementary Treatment for Cancer Patients Receiving Chemotherapy

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